NR 601 week3 part 1 discussion.

• The Katz Activity of Daily Living scale was developed to assess a patients ability to complete activities of daily living independently (Katz, Sidney, Thomas, Grotz, 1970). As our patient's age, their functional abilities decline. This tool allows the practitioner to assess function and detect problems, thus making adjustments to their plan of care accordingly. This tool ranks performance in six areas of daily living, bathing, dressing, toileting, continence, and feeding. One point is given to each yes area then add the total score. Full function is represented by a score of 6, 5-3 indicates moderate impairment, and a score of 2 or less signifies severe functional impairment. This tool is helpful in clinical practice as it identifies when your patient is declining and may need assistance. The goal for each patient is to maintain independence and this tool assess a clients ability to function at home. The practitioner can offer suggestions and referrals to patients that score low. Some referrals could be to occupational therapy, physical therapy, home health, etc. My evaluation of this tool in primary care is, it is a useful to help patients maintain their independence and be able to live at home as long as possible. The results of this tool screens for the need for an intervention. The Hendrik II Fall risk model asses the risk of a fall to an individual. Some of the risk factors for aging adults are from chronic illnesses, medications, acute conditions, prodrome to other diseases, and idiopathic causes (Hendrich, Nyhuis, Kippenbrock, & Soja, 1995). The scoring criteria of this tool is, Confusion/Disorientation/Impulsivity 4 points, Symptomatic Depression 2 points, Altered Elimination 1 points, Dizziness/Vertigo 1 points, Gender (Male) 1 points, Administered Antiepileptics 2 points, Benzodiazepines 2 points, and the Get-Up-and-Go Test, which assess the ability to rise independently, this is scored by Ability to rise in single movement 0 points, Pushes up, successful in one attempt 1 point, Multiple attempts but successful 3 points, and Unable to rise 4 points. A total score of 5 or greater signifies a high risk for fall. This tool is useful to practitioners as it indicates the need for an intervention. Interventions could include, walker, cane, medication reconciliation, physical therapy, occupation therapy, and/or shower chair, etc. This is also a reminder for the provider to eliminate any unnecessary medications, such as benzodiazepines. My evaluation of this tool in primary care is, this is a useful tool as it identifies patients that are at risk of falls and another reminder to complete medication reconciliation. Reference Hendrich, A., Nyhuis, A., Kippenbrock, T., & Soja, M. E. (1995). Hospital falls: development of a predictive model for clinical practice. Retrieved from Katz, Sidney, Thomas, R., H., Grotz, & C., R. (1970). Progress in Development of the Index of ADL 1. Retrieved from o Collapse SubdiscussionMarie Mompoint Marie Mompoint Sep 17, 2019Sep 17 at 12:25am Manage Discussion Entry Hi Stephanie, Thanks for your posting this week. You selected 2 great screening tools to discuss. Both of the tools can be applied in the primary care settings to assess patients level of dependency. It is very important to perform the fall risk assessments on all geriatric patients. Hendrich, A., Nyhuis, A., Kippenbrock, T., & Soja, M. E. (1995). Hospital falls: development of a predictive model for clinical practice. Retrieved from